Anesthetic management of spontaneous cervical epidural hematoma during pregnancy: a case report

Table 1 Clinical characteristics, surgical management, and outcomes of published cases

Author [reference]	Age, years	GW	Time from ND to decompression	Symptoms	Level	Timing of decompression related to delivery	Surgical positioning	Outcome (recovery)
Mahieu et al. [1]	26	30	3 hours	Neck pain Brown-Séquard syndrome	C3–T1	After CS	?	Complete
Singh et al. [2]	25	31	30 hours	Interscapular pain Quadriplegia	C3–C7	Before VD	?	Complete
Yonekawa et al. [6]	20	37	14 hours	Neck pain Paraplegia	C4–C6	Before VD	Sitting position	No recovery
Wang et al. [13]	29	40	6 hours	Neck pain Quadriplegia	C5–C7	After CS	Prone position	Mild (impaired sensation in fingers)
Iwatsuki et al. [15]	27	37	Spontaneously resolved	Left shoulder pain	C4-T1	Abstention	Not done	Spontaneous recovery
Masski et al. [20]	27	41	12 hours	Neck and arm pain Quadriplegia	C7–T2	After CS	Prone position	No recovery
Binnert et al. [28]	28	37	120 hours	Interscapular pain Paraplegia	C7–T1	After VD	Sitting position	No recovery
Matsubara et al. [29]	36	16	9 hours	Interscapular pain Quadriplegia	C3–C7	Before CS	?	No recovery
Tada et al. [30]	26 21	31 39	30 hours 12 hours	Paraparesis Quadriparesis	C4–T2 C5–T2	After CS After CS	Prone position Prone position	Complete Complete
Our patient	35	21	28 hours	Neck and interscapular pain Quadriplegia	C3–C6	Before CS	Prone position	Mild

Abbreviations: CS Cesarean section, GW Gestational weeks, ND Neurological deficit, VD Vaginal delivery